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10512765
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Last modified
6/29/2021 9:39:24 AM
Creation date
6/25/2021 2:20:28 PM
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Permits
Permit Address
10025 NORTH FORK LN SE
Permit City
LYONS
Permit Number
555-20-009346-PRMT-01
Parcel Number
093E02DC01100
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT <br /> Site Address: tOn7, ' Nar1ln F rk ti4vt_..t 5.-g L yesfrk5 �31"9 <br /> Township Range Section Tax Lot Total Acres ,.9.3" 2°—vo <br /> Subdivision Block Lot n EC ' V EE 7 <br /> A Drawn to Scale: °C1 Not Drawn to Scale -OR- I square= 9?) feet <br /> JAN 20 2021. - • <br /> _.4,----MARION <br /> fCOUNTY - <br /> SUJINSPECTIOf <br /> • <br /> . . . . . . . . . 1 ..‘17 . . . . . . . E . . . <br /> 5 006 i-... . . . . . •. •. • <br /> •�.,_.....--. •. . •. . • <br /> . <br /> • <br /> , 61oP„,....e. --k- — .r._ <br /> ,•.. , <br /> . . . . . . ___. „"---. -. •.. -„,„--------,, at" ytei5.la 6 6r5 . <br /> v.1 <br /> V1Cadt CItSlifi6i''d _ ------ <br /> ` <br /> NbvS� + <br /> hz�' ii000g�Up . <br /> il e, ..s. I: 0 tr.'. ..%;i,_ <br /> AA 11' k, <br /> - k A <br /> CO vA evil .1 I13 q \ %)*: . �., <br /> LAf�tk of 5-tk-C- . <br /> 4- , , �°` - ,TAT� CERTIFIED <br /> t !� . • `• ,5ra°. Waste Water Specialist - <br /> I' Ot.� or (",".. <br /> W10147892 <br /> . . . . . . . � 65 7S ,-'may <br /> .--- . . N 4,I) ► . . <br /> t • <br /> --�' �,�'C`n .i:D�r tC La°� -..._ ___..._ 01 'j k L. �NA i< <br /> imberlee A Aldrich <br /> __--.r . . , . gi . . . . <br /> I certify that the above information is accurate to the best of my knowledge.I AM TELE[ I Owner or.t4 Authorized Agent. <br /> NAME(please print): q 1e vt 1-400,1+- -,. �` t Telephone# 3 —2 71--3 c)04,..'). <br /> Applicant's Signature: ��' ( _ Date: Sett,‘ , I , 7Q71 <br /> Applicant's Mailing Address: 21361 4v`'an k1ck� R.A. N. E R <br /> City: SG Ee-Va-t Zip: 9 730 3 Applicant's email: fa kn cc,0,1.0 9-Yuk, t I t C..ew1 <br /> S-31-1-2017 <br />
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